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Community Development Department
108 8th Street, Su¡te 401
Glenwood Springs, CO 81601
(9701945-82t2
www. ga rfield-cou ntv. com
Garfield County
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
I Residential (5F, Duplex or Townhome)Reroof
Acces Dwellin Unit ADU)- MAXIMUM SIZE OF FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Mindy and Nathan Kaegebein Phone: ( 970
)
379-6228
PO Box 102, Carbondale, Co 81623
EmailAddress:natekaegebein@kfhomebuilding.com
contractor: Kaegebein Fine Homebuilding Phone:(970 \379-6228
Mailing Address:225 Main St, Carbondale, CO 81623
EmailAdd ,".r. natekaegebein@kfhomebuilding.com
Architect: Hancox Group Phone:t970 )618-5588
Mailing Address:314 Sopris Circle, Basalat, CO 8161 1
Email Addres' jeff reY@hancoxgroup.com
Engineer:Ernest Kollar Engineers Phone:970 379-7368
Mailing Address:320 Main St, Carbondale, CO,81623
Emait Addresr. erniekollar@sopris.net
Manufactured Home lnstaller:Phone: (_)
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work:New Single Family Home
Job Address: 19 Silver Spruce, Carbondale, CO 81623
Assessor's Parcel Number: 239336219001
5ub.Roaring Fork Preserve Lot 1 Block
Owner's Valuation
Sq. Ft. of Building:
of Work:
5000
1 ,100,000 Property Size (Sq. Ft. or Acres):
Height:28 Ë of Floors .2
5
Class of Work:{New Remodel/Alteration Addition
Garage {Attached Detached
I
PROJECT DETAITS CONTINUED
CommunitySepticOWTS
Propane Electric OtherType of Heat NaturalGas
Permit #:Driveway
Permit:
Authoritv, ThisapplicationforaBuildingPermitmustbesignedbytheOwnerof theproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division,
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e,g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within L80 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
NOTICE
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true and correct, I
understand that the Building Division accepts the Application, along with the plans and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Bullding Division. ln consideration of the issuance of the Bulldlng Permit, I agree that I and my agents will
comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Code, OWTS regulations and applicable land use regulations (County Regulation(s)), I acknowledge that the
Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use
of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any
other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiringthe correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other
applicable law. Review of this Application, including submittals, and inspections of the work by the Building
Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
designer, engineer and/ or builder.
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I hereby acknowledge that I have read and understand the Notice a
d information which is correct and accurate to the
nd Certification above, as well as, have
best of my knowledge.
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DateProperty Owner Print and Sign
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Special Conditions:
Adlusted Valuation:,þ.a¿4 qØl Plan Check Fee:-,l/, bø.sql
Permit Fee:
-É¿, qzvë Manu. Home Fee:
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Misc. Fees:
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Total Feds:
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Fees Paid:
$ t¿1o.5'l
Balance Due:
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OWTS No
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?-BUILDING / PLANNING DlVlSloN I
Signed Approval Date
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Garfield County
BUILDING DEPARTMENT
108 Eiqhth Street, Suite 407, Glenwood Spr¡ngt CO 81601
Tel: (970) 945-8272
PLAN REV IEW CHECKLIST
permit No: Etßg-?2/.7/3/
9æT?.2t,7/32
Building lssues
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Pla n n ing I Zoning lssues
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Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
,/ subdivision Plat Notes
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Property Line Setbacks f
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30 ft.Stream Setbacks .",
Frood prain carld,,fu dralo
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Zoning Sign-Off
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Yæ Road tmpact Fees tr6b
Fire Deoartment Review
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Va I uation Deterrfination/ Fees
Red Line Plans/ StamPs/ Sticker
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REPør/e /
Descri ion&S
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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tz Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No
40# Snowload Letter - Manu. Homes ' U
Soils Report
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Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
Framing /connection details, braced wall lines, shear wall schedule, location and hold downs
NOTE: lf any required information is missing, delays in issuing the permit are to be expected, lf
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided, Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
B .9 .2r
Property Owner Print and S Date
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